糖尿病患者自我管理知识、态度、行为评价简化量表的研制

Study on developing a Brief Version of Diabetes Self-management Knowledge, Attitude, and Behavior Assessment Scale （DSKAB-SF）

目的研制具有我国人群社会文化适应性、性能良好、能快速评价糖尿病患者自我管理知识、态度和行为水平的简化量表。方法选取了20名熟悉糖尿病自我管理领域相关内容的糖尿病临床和慢性病自我管理领域的专家，采用面对面咨询和Email相结合的方式进行两轮专家咨询，简化糖尿病患者自我管理知识、态度和行为评价量表（“全表”，共98个条目）。第1轮专家咨询要求专家根据“全表”中每个条目在所属维度的重要性和代表性，筛选最为核心的条目，并对判断依据和熟悉程度进行打分；第2轮专家咨询要求专家对第1轮筛选的条目进行重要性评分。根据专家意见的协调程度，确定进入简化量表的条目，形成简化量表。结果两轮德尔菲法专家咨询分别收回合格的咨询表16份和15份，专家积极系数分别为80．0％和93．8％，专家权威程度均为0．90。第1轮咨询，专家选择（44．3＋6．2）个条目，根据量表测量维度和内容的完整性以及每个条目被专家选择的次数，筛选了42个条目。第2轮咨询，专家认为第1轮筛选的条目可以较为全面且有代表性地测量每个维度的重要内容，知识、态度和行为分量表条目的重要性评分分别为（8．42±1．17）、（8．61±1．24）和（8．61±1．02）分，协调系数分别为0．36、0．20、0．49（y。值分别为89．74、11．13、96．03，P值均〈O．05）。简化量表的总协调系数为0．38（x2=199．36，P〈0．001），说明专家的意见集中程度可以接受，简化量表的内容得到专家认同，具有良好的表面效度和内容效度。结论简化量表具有良好的表面效度和内容效度，能够对糖尿病患者群体或个体的自我管理进行快速且较为全面的评价。

Objective To develop a brief version scale with good validity and reliability to evaluate self-management knowledge, attitude and behavior （KAB） of diabetes patients in a shorter time. Methods 20 authority experts who specialized in the field of diabetes clinical and non-communicable disease self-management, and familiar with the relevant content of diabetes self-management were selected. Face to face and Email consultation methods were applied in two rounds delphi expert consuhations to choose items from the Diabetes Self-management Knowledge, Attitude, and Behavior Assessment Scale （DSKAB, total scale, 98 items）. In the first round of expert consultation, experts were asked to select the core items from every dimension and score the extent of familiarity and basis of judgment. In the second round of expert consultation, the significance of the core items which were selected by experts in first round, were graded. The items which entered into the brief scale were determined by harmonious condition of expert opinions, Results Two rounds of consultation reclaimed 16 and 15 responses respectively, Positive coefficients of experts were 80% and 94% respectively, and both authoritative coefficients were 0.90. In the first round of consultation, experts selected 44.3±6.2 items on average, 42 items were selected according to the integrity of the scale for measuring dimension and content at last. In the second round of consultation, experts thought that the 42 items could measure the important contents of each dimension comprehensive and representative, the item importance scores of knowledge, attitude, and behavior subscale were 8.42±1.17, 8.61±1.24, 8.61 ± 1.02 respectively, and the coordination coefficients of the three subscale were 0.36, 0.20, 0.49 （ X2 were 89.74, 11.13, 96.03, P〈0.05）. The total coordination coefficient was 0.38 （ X2 =199.36, P〈0.001）, which indicated the concentration of expertsopinion was acceptable, showed the brief scale with good face validity and content validity. Conclusion The brief scale could evaluate Diabetes Self-management KAB Scale rapidly and relatively comprehensive in groups or individuals diabetes with good face validity and content validity.